摘要
目的 探讨幕上脑实质内室管膜瘤的临床特点、影像学表现、治疗和预后.方法 对经手术后病理证实的14例幕上脑实质内室管膜瘤进行临床分析.其中室管膜瘤10例,恶性室管膜瘤4例.肿瘤位于额叶4例,顶叶8例,枕叶2例.肿瘤呈完全实质性者3例,囊性变者11例.结果 全部病例均手术切除.全切除10例,次全切除4例.随访时间3个月-4年.3例患者复发后行二次手术,其中1例患者手术后4个月死亡;1例患者复发后拒绝再次手术后6个月死亡,12例患者目前仍存活.结论 幕上脑实质内室管膜瘤术前诊断较困难,应注意与其他肿瘤相鉴别.手术全切除效果良好,神经导航辅助下的显微手术有助于手术全切除.
Objective To study the clinical feature, image, treatment and prognosis of supratentorial parenchymal ependymomas. Method 14 cases of patients suffered from supratentorial parenchymal ependymomas were treated. There were 10 ependymomas and 4 malignant ependymomas. Tumor was located in frontal lobe in 4cases,parietal in 8,and occipital in 2. There were 3 substantial tumors and 11 cystic tumors. Results All the patients received operation. Complete surgical removal was achieved in 10 cases and partial removal in 4. All the cases were followed-up from 3 months to 4 years. 3 patients with recurrent tumors received the second operation,among them one patient died after 4 months. One patient with recurrent tumor did not receive the second operation and died after 6 months. 12 patients were still alive. Conclusions The preoperative diagnosis of supratentorial parenchymal ependymomas is difficult. Complete removal of tumor is important for good prognosis. Microsurgical techniques combined with navigation are helpful for complete removal of tumor.
出处
《中华神经外科杂志》
CSCD
北大核心
2011年第3期300-302,共3页
Chinese Journal of Neurosurgery
关键词
脑实质
室管膜瘤
外科手术
全切除
Parenchyma
Ependymoma
Surgical procedures,operative
Complete removal
